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Sections A & B must be fully complete as this information is required by the State of Florida to register a death. Sections C & D are optional.
A response is not required if the deceased did not have a middle name.
Required only if a female decedent was ever married.
Not required if no middle name or middle name unknown.
Choose highest level of education completed.
If yes, please specify which branch of service.
Homemaker is an occupation, as is Never Employed.
At least one telephone number whether home or cell must be provided
The final disposition of the decedent must be indicated.